File:Bulging of paraspinal line in traumatic thoracal spinal compression fracture (Radiopaedia 29221-29619 illustration 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 29221
  • Image ID: 6983489
  • Plane projection: illustration
  • Study description: Annotations
  • Study findings: AP projection of thorax depicting bulging of soft tissue shadow of left paraspinal line (red arrow), better appreciated on slightly darkened view settings. Illustration of deviation of left paraspinal line caused by compression fracture with associated hematoma. Sagittal view of the lower thoracic and spine depicts fractured anterior part of vertebra T12 (orange arrow) and intact posterior part (middle column, blue arrow), i.e. flexion fracture pattern compression type. Coronal view of the lower thoracic and lumbar spine at the level of lower thoracic bodies depicts hematoma producing left sided bulge (red arrow) and part of the fracture itself (yellow arrow). 3D volume rendering in sagittal view with spot on thoracolumbar transition illustrates fracture line involving left-sided anterolateral part of vertebra T12 (black arrows), resulting in slight height loss. Fracture line exits well before middle column i.e. posterior part of vertebral body (white arrow). Illustration of deviation of both paraspinal lines caused by compression fracture with associated hematoma
  • Modality: Annotated image
  • System: Spine
  • Findings: The soft tissue shadow of the left paraspinal line bulges near the diaphragm. Following trauma this finding is consistent with localized hematoma i.e. an indirect sign of a vertebral fracture. No mediastinal widening, no evidence of pulmonary contusion, pneumo- or hematothorax, no further evidence of fracture or dislocation. Conclusion Lower thoracic vertebral fracture probable.
Date Published: 25th Feb 2015
Source https://radiopaedia.org/cases/bulging-of-paraspinal-line-in-traumatic-thoracal-spinal-compression-fracture
Author René Pfleger
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current22:58, 26 June 2021Thumbnail for version as of 22:58, 26 June 20211,600 × 1,600 (127 KB)Fæ (talk | contribs)Radiopaedia project rID:29221 (batch #5446-2 B1)

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